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糖尿病患者医院社区互动护理模式的建立及运行
引用本文:李玫,许瑞珍,孙涛,陈素霞,苏少汝,翟俊英,张蓁蓁.糖尿病患者医院社区互动护理模式的建立及运行[J].中华护理杂志,2009,44(8).
作者姓名:李玫  许瑞珍  孙涛  陈素霞  苏少汝  翟俊英  张蓁蓁
作者单位:深圳市龙岗区坪山人民医院护理部,518118
基金项目:深圳市科技计划(医疗卫生类)立项项目 
摘    要:总结了糖尿病患者医院社区互动护理模式的建立及运行效果.成立了院糖尿病护理小组、医院社区双向转诊中心、住院宣教社区访视小组、家居自我管理小组,实行糖尿病患者优先就诊、检壹、住院.初步形成了社区与医院、专业护士与社区护士、护士与怠者之间的互动,为糖尿病患者提供及时、便利、连续性、全程护理服务.该模式取得了预期的良好效果.其形式和内容得到了患者认可,50例糖尿痛患者的满意率为96.5%.

关 键 词:糖尿病  社区卫生服务  组织和管理

The development and implementation of hospital-community Interactive nursing mode for patients with diabetes
LI Mei,XU Rui-zhen,SUN Tao,CHEN Su-xia,SU Shao-ru,ZHAI Jun-ying,ZHANG Zhen-zhen.The development and implementation of hospital-community Interactive nursing mode for patients with diabetes[J].Chinese Journal of Nursing,2009,44(8).
Authors:LI Mei  XU Rui-zhen  SUN Tao  CHEN Su-xia  SU Shao-ru  ZHAI Jun-ying  ZHANG Zhen-zhen
Abstract:This paper introduces the development and implementation of hospital-community interactive nursing mode for patients with diabetes. The interactive mode between community and hospital,specialist nurses and community nurses,as well as patients and nurses was formed to provide timely,convenient,continuous and whole-process nursing care for diabetic patients through the setting up and services of hespital-based diabetes care team,two-way transfer center between hospital and commu-nity,hospital-based education and community-based visit team,community-based self-management group as well as green chan-nel of priority treatment,inspection and hospitalization for diabetic patients. The implementation of the interactive mode achieved good effect and was approved by the patients. The patient satisfaction rate was 96.5%.
Keywords:Diabetes Mellitus  Community Health Services  Organization and Administration
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